Please use the "Tab" key or mouse when moving from field to field.  Using the "Enter" key will automatically submit the form.

Please provide the following company information:

Name of Company
Contact Person
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail

Please provide the following attendant information (include P.E. or P.S. after each name, if applicable):

Name
Title
Name2
Title2

Please list/describe the service(s)/product(s) and/or specialization provided by your organization.  Also list any company or companies you do not wish to be near.

FOLLOW LINK TO CROWNE PLAZA (FORMERLY MARRIOTT NORTH) HOTEL LAYOUT CHART FOR CHOOSING YOUR TABLE TOP LOCATION ~  Crowne Plaza Hotel Trade Show Layout

	1st Choice
	2nd Choice
	3rd Choice

 

Please select yes or no:

No Yes

Electric

(High speed internet must be ordered through the Hotel)

Neither CEAO nor any other sponsors for this conference can be held responsible for damaged, lost, or stolen equipment.

After this form has been received you will be contacted by the CEAO regarding details.  For phone lines contact the Crowne Plaza North Hotel.  For any and all electricity, you "must" check box above.  You must bring your own extension cords and multiple plug strips.  Depending on your needs, there may be an additional setup charge by the Crowne Plaza North Hotel.  Table-top spaces are $285 for CEAO Supporting Members; $335 for Non-Members.  Dee Bickers will be your Trade Show Coordinator (614) 221-0707 or you may contact her at dbickers@ceao.org.  If you have any questions regarding the Trade Show, please feel free to contact her at the CEAO office.  To ensure a table-top location, return this form immediately.  Last year all space was completely filled 15 days prior to the deadline date. 

 

Once this form is received by CEAO, you will be invoiced for the conference fee.

Please send payment by July 16, 2010.  Please send to:

COUNTY ENGINEERS ASSOCIATION OF OHIO

6500 Busch Blvd., Suite 100, Columbus, OH 43229-1738

PHONE: 614/221-0707      FAX: 614/221-5761       E-Mail: dbickers@ceao.org  

CEAO Web site:  http://www.ceao.org

 

Please print a copy of this form for your records prior to hitting the "Submit" button.